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The effect of tai chi on psychosocial well-being : a systematic review of randomized controlled trials

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journal contribution
posted on 2009-09-01, 00:00 authored by Wei Wang, A Zhang, Bodil RasmussenBodil Rasmussen, L W Lin, Patricia Dunning, S Kang, B J Park, Sing Lo
Objective : This systematic review aimed to critically appraise published clinical trials designed to assess the effect of Tai Chi on psychosocial well-being.

Data Sources : Databases searched included MEDLINE, CINAHL, EMBASE, HEALT, PsycINFO, CISCOM, the Cochrane Central Register of Controlled Trials of the Cochrane Library, and dissertations and conference proceedings from inception to August 2008.

Review Methods : Methodological quality was assessed using a modified Jadad scale. A total of 15 studies met the inclusion criteria (i.e. English publications of randomized controlled trials with Tai Chi as an intervention and psychological well-being as an outcome measure), of which eight were high quality trials. The psychosocial outcomes measured included anxiety (eight studies), depression (eight studies), mood (four studies), stress (two studies), general mental health three studies), anger, positive and negative effect, self-esteem, life satisfaction, social interaction and self-rated health (one study each).

Results : Tai Chi intervention was found to have a significant effect in 13 studies, especially in the management of depression and anxiety. Although the results seemed to suggest Tai Chi is effective, they should be interpreted cautiously as the quality of the trials varied substantially. Furthermore, significant findings were shown in only six high quality studies. Moreover, significant between group differences after Tai Chi intervention was demonstrated in only one high quality study (the other three significant results were observed in non-high quality studies). Two high quality studies in fact found no significant Tai Chi effects.

Conclusion : It is still premature to make any conclusive remarks on the effect of Tai Chi on psychosocial well-being.

History

Journal

Journal of acupuncture and meridian studies

Volume

2

Pagination

171 - 181

Location

Seoul, Korea

Open access

  • Yes

ISSN

2005-2901

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2009, Korean Pharmacopuncture Institute